Healthcare

died · Oklahoma · Senate Feb 19, 2026

SB 1383: Medicaid; providing for Medicaid coverage of diabetes self-management education and support. Effective date.

SB 1383 requires Oklahoma Medicaid to cover diabetes self-management education and support (DSMES) for beneficiaries with diabetes. It mandates the Oklahoma Health Care Authority to develop a state plan amendment for this coverage after completing a feasibility study and reporting on costs, clinical evidence, and pilot results. The bill defines DSMES as personalized education covering healthy eating, physical activity, blood sugar monitoring, and medication management. This policy change directly affects Oklahoma Medicaid enrollees diagnosed with diabetes by expanding their covered health services. The bill becomes effective November 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid coverage for diabetes self-management education, expanding access to critical care for beneficiaries with diabetes.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · Senate Jun 15, 2025

SB 207: Public health; establishing the Oklahoma Rare Disease Advisory Council; modifying requirements relating to newborn screening program. Effective date. Emergency.

SB 207 establishes the Oklahoma Rare Disease Advisory Council within the State Department of Health to address the needs of Oklahomans living with rare diseases (defined as conditions affecting fewer than 200,000 people nationally). The Council, composed of 13 diverse members including patients, caregivers, healthcare providers, researchers, and industry representatives, will conduct public hearings, develop policy recommendations, and create emergency care protocols to improve access to specialists, diagnostics, and equitable treatment. The bill also modifies Oklahoma’s newborn screening program to require an educational initiative for treatable genetic disorders, aiming to prevent intellectual disabilities and reduce infant mortality through early intervention. This legislation directly affects rare disease patients, their families, healthcare providers, and state agencies responsible for public health programs in Oklahoma.

Topics ✓ HealthcareSupports HealthcareEstablishes Oklahoma Rare Disease Advisory Council to improve patient access through policy recommendations and emergency care protocols for rare disease patients.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · House May 30, 2025

HB 2513: Department of Mental Health and Substance Abuse Services; individual to address the Department's consent decree; qualifications; emergency.

HB 2513, titled the "Oklahoma Mental Health Reform Act of 2025," proposed creating a position requiring an individual with specific qualifications to address the Department of Mental Health and Substance Abuse Services' court-ordered consent decree. The bill specified requirements for this appointee and included an emergency provision. It was scheduled to take effect November 1, 2025, but was pocket-vetoed by the Governor on May 30, 2025, with the veto taking effect June 15, 2025, meaning it never became law. The bill directly affected the Department's compliance with its existing legal agreement but was not enacted.

Topics ✓ HealthcareSupports HealthcareBill creates position to address mental health consent decree, aiming to improve service compliance and quality under healthcare topic of mental health services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · House May 30, 2025

HB 2645: Revenue and taxation; practice of medicine; tax credit; time period; effective date.

HB 2645 creates a tax credit for qualifying doctors practicing medicine in rural Oklahoma, directly affecting licensed physicians who meet specific residency and education criteria. The credit, capped at $20,000 per year per doctor, applies to taxable income from medical practice in designated rural areas (population under 25,000 and at least 25 miles from larger cities). The bill includes an annual $1 million total credit limit, with adjustments to prevent exceeding this cap. The bill was pocket-vetoed by the governor on June 15, 2025, and never became law.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax credit for rural doctors, reducing taxable income and incentivizing medical practice in underserved areas, aligning with tax relief indicators.95% confidence ✓ HealthcareSupports HealthcareBill provides tax credit to attract doctors to rural areas, improving healthcare access for underserved populations and directly supporting medical professionals in healthcare delivery.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · House May 30, 2025

HB 1576: Medicaid; terms; Oklahoma Health Care Authority; coverage; Medicaid; criteria; medical necessity; discretion; Chief Operating Officer; Health Information Portability and Accountability Act; scientific research; consent; research; opting-out; minors; promulgation of rules and regulations; waiver application; effective date; emergency.

HB 1576 requires Oklahoma Medicaid to cover rapid whole genome sequencing (RWGS) for eligible beneficiaries under age 21 with complex or acute illnesses of unknown cause while receiving critical care in a hospital. It mandates coverage only when specific medical criteria are met, such as symptoms suggesting broad genetic testing needs, timely diagnosis being critical for treatment, and conditions like congenital anomalies or abnormal test results. The bill also ensures genetic data used for diagnosis is protected under HIPAA, allows research use only with explicit patient or guardian consent (with opt-out rights), and requires the Oklahoma Health Care Authority to implement rules and seek federal approval for coverage. This policy directly affects Medicaid-covered children and teens in intensive care with undiagnosed conditions.

Topics ✓ HealthcareSupports HealthcareBill mandates Medicaid coverage for rapid whole genome sequencing for critically ill minors under 21, expanding diagnostic access and treatment options.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · House May 29, 2025

HB 2298: Practice of nursing; providing for independent prescriptive authority of Advanced Practice Registered Nurses who meet certain requirements; modifying various provisions of the Oklahoma Pharmacy Act, the Oklahoma Nursing Practice Act, and the Uniform Controlled Dangerous Substances Act; effective date.

HB 2298 allows qualified Advanced Practice Registered Nurses (APRNs) in Oklahoma - such as nurse practitioners and nurse-midwives - to prescribe medications independently after meeting specific requirements. To qualify, APRNs must complete 6,240 supervised clinical hours, hold a valid license, and carry $1 million in malpractice insurance per incident. The bill also sets rules for APRN advertising (requiring clear disclosure of their role and scope) and defines supervision requirements for those not yet eligible for independent prescribing. It modifies Oklahoma’s Nursing Practice Act, Pharmacy Act, and Controlled Substances Act to implement these changes.

Topics ✓ HealthcareSupports HealthcareExpands APRN prescribing authority, increasing patient access to care through independent medication management without restrictions or defunding.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · House May 29, 2025

HB 2584: Physicians assistants; Pharmacy Act; prescriptions for controlled dangerous substances; Physician Assistant Act; Committee; members; requirements; Public Health Code; authority for physician assistants to carry out certain functions; prescribing and administering controlled substances; supervision.

HB 2584 allows physician assistants (PAs) in Oklahoma to prescribe and administer certain controlled substances under the supervision of a licensed physician, as specified in the Oklahoma Pharmacy Act and Physician Assistant Act. The bill clarifies that pharmacists may dispense these prescriptions only when written by a PA licensed in Oklahoma and supervised by an Oklahoma-licensed physician, and it modifies requirements for practice agreements between PAs and their supervising physicians. It also creates a 9-member Physician Assistant Committee with specific membership rules to oversee PA licensure and practice standards. The law directly affects PAs, supervising physicians, and pharmacists who dispense controlled substances. (Summary based on bill text amendments to Sections 353.1a, 519.2, and 519.3 of Oklahoma statutes.)

Topics ✓ HealthcareSupports HealthcareExpands physician assistant prescribing authority for controlled substances under supervision, improving patient access to medications while maintaining physician oversight.92% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · Senate May 29, 2025

SB 574: Attorney General; broadening approved purposes for opioid grant awards; authorizing certain use of funds by the Attorney General. Effective date.

SB 574 expands the types of opioid-related projects eligible for state grant funding by allowing the Attorney General to allocate funds toward new prevention, treatment, and recovery initiatives. It directly affects state agencies and community organizations receiving opioid grants by broadening allowable uses beyond current restrictions. The bill authorizes the Attorney General to use grant funds for specific, previously ineligible activities, such as community-based support programs. This policy change modifies how opioid grant funds are distributed without altering the grant application process.

Topics ✓ Criminal JusticeSupports Criminal JusticeExpands opioid grant funding for prevention/treatment programs, directly supporting criminal justice reform goals by addressing root causes of crime and reducing recidivism.85% confidence ✓ HealthcareSupports HealthcareExpands opioid grant funding for prevention, treatment, and recovery services, directly increasing healthcare access and public health funding for substance use disorders.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · House May 29, 2025

HB 2048: Prescriptions; 340B Nondiscrimination Act; definitions; discriminatory actions; reimbursement; manufacturer; distributor; enforcement; Attorney General; Insurance Commissioner; violations; federal preemption; effective date.

HB 2048, the "340B Nondiscrimination Act," prohibits health insurers, pharmacy benefits managers (PBMs), and third-party payors from discriminating against healthcare providers participating in the federal 340B drug discount program. It specifically bans lower reimbursement rates for 340B drugs, extra fees or administrative burdens for 340B entities, exclusion from provider networks based on 340B status, and requirements to disclose 340B-specific billing details. The law applies to all 340B entities - such as community health centers and hospitals participating in the federal program - and ensures they receive equal treatment in billing, reimbursement, and network access. Enforcement is handled by the Attorney General, with the Oklahoma Medicaid program excluded from these provisions.

Topics ✓ HealthcareSupports HealthcarePrevents insurers from discriminating against 340B providers, ensuring consistent reimbursement and access to discounted drugs for safety-net hospitals serving vulnerable populations.95% confidence ✓ VeteransSupports VeteransProtects 340B providers (including VA facilities) from discriminatory reimbursement, ensuring veterans' access to discounted medications via the federal 340B program.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · House May 29, 2025

HB 2785: Public finance; imposing duties upon the Office of Management and Enterprise Services; budget procedures for the Oklahoma Department of Mental Health and Substance Abuse Services; requirements related to allocation of funds; emergency.

HB 2785 requires Oklahoma's Office of Management and Enterprise Services (OMES) to implement stricter budget oversight for the Department of Mental Health and Substance Abuse Services. It mandates OMES to review agency budgets against actual spending before releasing funds, prohibit contracts without clear cost limits, restrict multi-year contract encumbrances to current-year funds, and block payments for unapproved expenses. The bill also requires OMES to report monthly revenue and spending status to the Governor, legislature leadership, and relevant committees. This directly affects state budget management for mental health services by adding specific financial controls to prevent overspending. The law takes immediate effect due to an emergency declaration.

Topics ✓ Budget & TaxesSupports Budget & TaxesRequires stricter budget oversight, cost controls, and prevents unapproved spending to promote fiscal responsibility within mental health funding procedures.90% confidence ✗ HealthcareOpposes HealthcareBill restricts mental health funding flexibility by mandating strict budget oversight, blocking unapproved payments, and limiting contract terms, reducing operational capacity.85% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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